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Swift24 Registration

Pilgrimage to France

11 Day

Spiritual Director: Rev. Dan Swift, Pastor / St. Mary of the Lakes Parish, Medford, NJ

Please enter your name as it appears on your passport. To purchase airline tickets, they must be identical.
The maximum number of form submissions has been reached. This form is currently not available.
- Number of Pilgrims REQUIRED Please fill out this field.
  
  Pilgrim # 1
  
  I am registering for: REQUIRED Please fill out this field.
  
  Pilgrims that choose the LAND ONLY option are responsible for reserving and purchasing their own airline tickets.
  
  First Name: REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name: Please enter valid data.
  
  Last Name: REQUIRED Please fill out this field. Please enter valid data.
  
  Street Address: REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Date of Birth: REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Passport Number: Please enter valid data.
  
  Country of Citizenship: Please enter valid data.
  
  Expiration Date: Please enter valid data.
  
  Your passport must be valid 3 months after you return.
  
  Room Arrangements: REQUIRED Please fill out this field.
  
  Name of Roommate: Please enter valid data.
  
  If you NEED a roommate, we will do our best to find one for you. Otherwise the single supplement will apply.
  
  Medical or Special Dietary Needs:
  
  Preferred Name on Your Name Badge: REQUIRED Please fill out this field. Please enter valid data.
  
  Pilgrim # 2
  
  I am registering for: REQUIRED Please fill out this field.
  
  Pilgrims that choose the LAND ONLY option are responsible for reserving and purchasing their own airline tickets.
  
  First Name: REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name: Please enter valid data.
  
  Last Name: REQUIRED Please fill out this field. Please enter valid data.
  
  Street Address: REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Date of Birth: REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Passport Number: Please enter valid data.
  
  Country of Citizenship: Please enter valid data.
  
  Expiration Date: Please enter valid data.
  
  Your passport must be valid 3 months after you return.
  
  Room Arrangements: REQUIRED Please fill out this field.
  
  Name of Roommate: Please enter valid data.
  
  If you NEED a roommate, we will do our best to find one for you. Otherwise the single supplement will apply.
  
  Medical or Special Dietary Needs:
  
  Preferred Name on Your Name Badge: REQUIRED Please fill out this field. Please enter valid data.
  
  Pilgrim # 3
  
  I am registering for: REQUIRED Please fill out this field.
  
  Pilgrims that choose the LAND ONLY option are responsible for reserving and purchasing their own airline tickets.
  
  First Name: REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name: Please enter valid data.
  
  Last Name: REQUIRED Please fill out this field. Please enter valid data.
  
  Street Address: REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Date of Birth: REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Passport Number: Please enter valid data.
  
  Country of Citizenship: Please enter valid data.
  
  Expiration Date: Please enter valid data.
  
  Your passport must be valid 3 months after you return.
  
  Room Arrangements: REQUIRED Please fill out this field.
  
  Name of Roommate: Please enter valid data.
  
  If you NEED a roommate, we will do our best to find one for you. Otherwise the single supplement will apply.
  
  Medical or Special Dietary Needs:
  
  Preferred Name on Your Name Badge: REQUIRED Please fill out this field. Please enter valid data.
  
  Pilgrim # 4
  
  I am registering for: REQUIRED Please fill out this field.
  
  Pilgrims that choose the LAND ONLY option are responsible for reserving and purchasing their own airline tickets.
  
  First Name: REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name: Please enter valid data.
  
  Last Name: REQUIRED Please fill out this field. Please enter valid data.
  
  Street Address: REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Date of Birth: REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Passport Number: Please enter valid data.
  
  Country of Citizenship: Please enter valid data.
  
  Expiration Date: Please enter valid data.
  
  Your passport must be valid 3 months after you return.
  
  Room Arrangements: REQUIRED Please fill out this field.
  
  Name of Roommate: Please enter valid data.
  
  If you NEED a roommate, we will do our best to find one for you. Otherwise the single supplement will apply.
  
  Medical or Special Dietary Needs:
  
  Preferred Name on Your Name Badge: REQUIRED Please fill out this field. Please enter valid data.
  
  Pilgrim # 5
  
  I am registering for: REQUIRED Please fill out this field.
  
  Pilgrims that choose the LAND ONLY option are responsible for reserving and purchasing their own airline tickets.
  
  First Name: REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name: Please enter valid data.
  
  Last Name: REQUIRED Please fill out this field. Please enter valid data.
  
  Street Address: REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Date of Birth: REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Passport Number: Please enter valid data.
  
  Country of Citizenship: Please enter valid data.
  
  Expiration Date: Please enter valid data.
  
  Your passport must be valid 3 months after you return.
  
  Room Arrangements: REQUIRED Please fill out this field.
  
  Name of Roommate: Please enter valid data.
  
  If you NEED a roommate, we will do our best to find one for you. Otherwise the single supplement will apply.
  
  Medical or Special Dietary Needs:
  
  Preferred Name on Your Name Badge: REQUIRED Please fill out this field. Please enter valid data.
  
  Pilgrim # 6
  
  I am registering for: REQUIRED Please fill out this field.
  
  Pilgrims that choose the LAND ONLY option are responsible for reserving and purchasing their own airline tickets.
  
  First Name: REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name: Please enter valid data.
  
  Last Name: REQUIRED Please fill out this field. Please enter valid data.
  
  Street Address: REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Date of Birth: REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Passport Number: Please enter valid data.
  
  Country of Citizenship: Please enter valid data.
  
  Expiration Date: Please enter valid data.
  
  Your passport must be valid 3 months after you return.
  
  Room Arrangements: REQUIRED Please fill out this field.
  
  Name of Roommate: Please enter valid data.
  
  If you NEED a roommate, we will do our best to find one for you. Otherwise the single supplement will apply.
  
  Medical or Special Dietary Needs:
  
  Preferred Name on Your Name Badge: REQUIRED Please fill out this field. Please enter valid data.
- Terms and Conditions of Journey of Faith Tours
  I have read and agree to the Terms and Conditions Please select this field.
- Confirmation Email REQUIRED Please fill out this field. Please enter an email address.
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